A brief discussion on the harvest of thinned perforator flap, detection of perforator vessels, and evaluation of flap blood supply
10.3760/cma.j.cn501225-20230812-00047
- VernacularTitle:浅谈薄型穿支皮瓣切取与穿支血管探测和皮瓣血运评估
- Author:
Pihong ZHANG
1
Author Information
1. 中南大学湘雅医院烧伤整形外科，长沙 410008
- Keywords:
Perforator flap;
Reconstructive surgical procedures;
Thinned flap;
Pure skin perforator;
Preoperative angiography;
Wound repair
- From:
Chinese Journal of Burns
2023;39(10):911-918
- CountryChina
- Language:Chinese
-
Abstract:
Repair and reconstruction surgery is not just a simple repair and reconstruction of tissue and organ defects in different parts, but also requires perfect repair that matches the defect and confuses the real. The thinning strategy of perforator flap is one of its main contents. In recent years, the concept of pure skin perforator flap and its clinical application have overturned the traditional concept that flaps must carry subdermal vascular plexus and improved our understanding of flap surgery, and it is expected to enhance the level of repair and reconstruction. This article explores the harvest of thinned perforator flaps, especially the harvest of innovative pure skin perforator flap with the thickness similar to full thickness skin, as well as the preoperative detection of perforator vessels, blood supply evaluation of perforator flaps, and their clinical applications. It proposes a "Jinshan" repair that perfectly matches the recipient area defect, and also prospects research on the perforasome and three-dimensional visualized digital anatomy of pure skin perforator flaps.
